Avd Medical SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AVD MEDICAL SC

Practice address

3825 Highland Ave Ste 3D
Downers Grove, IL 60515-1549

Phone

(630) 964-7006

Fax

(630) 964-7082

NPI assigned

Nov 2, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anil Vamsi Doppalapudi, MDNPI 1023104015

Title

President

Phone

(630) 964-7006

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anil Vamsi Doppalapudi, M.D

  • Internal Medicine Physician
  • Downers Grove, IL
  • NPI 1023104015
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1215405758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9237",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605670237",
            "telephone_number": "630-964-7006",
            "fax_number": "630-964-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE STE 3D",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151549",
            "telephone_number": "630-964-7006",
            "fax_number": "630-964-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVD MEDICAL SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "DOPPALAPUDI",
        "authorized_official_first_name": "ANIL VAMSI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-964-7006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3825 Highland Ave Ste 3D",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adoppalapudi250878@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "3825 Highland Ave Ste 3D",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chadwick Augusty, D.M.D.
• Patricia Austermuehle, RN
• Authentic Self Wellness, PLLC
• Autumn Leaf Counseling
• Megan Avallone, MOT
• Teresita Avila, M.D.
• Cathleen B Ayuste, MD
• Ofelia Ayuste, M.D.
• Javeria Azhar, O.D.
• Dennis Lloyd Azuma, MD

• Internal Medicine Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.